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Hoarseness of Voice and voice disorders PowerPoint Presentation

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Published on : Jul 10, 2021 | Views : 3285 | Downloads : 5

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Hoarseness of Voice and voice disorders 1
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HOARSENESS ROUGHNESS OF VOICE RESULTING FROM VARIATIONS OF PERODICITY AND/OR INTENSITY OF CONSECUTIVE SOUND WAVES 2
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HOARSENESS NORMAL VOICE 1.VOCAL CORDS(VC) SHOULD BE ABLE TO APROXIMATE PROPERLY WITH EACH OTHER 2.PROPER SIZE AND STIFFNESS 3.ABILITY TO VIBRATE REGULARLY IN RESPONSE TO AIR COLUMN 3
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AETIOLOGY 6
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DIAGNOSIS 7
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DYSPHONIA PLICA VENTRICULARIS (VENTRICULAR DYSPHONIA) VOICE IS PRODUCED BY VENTRICULAR FOLDS VOICE IS ROUGH ,LOW PITCHED AND UNPLEASANT SECONDARY TO IMPAIRED FUNCTION OF THE TRUE CORD OR FUNCTIONAL 8
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DIAGNOSIS ON ILS/FLEXIBLE SCOPY FALSE CORDS APPROXIMATE OBSCURING THE VIEW OF TRUE CORDS 9
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TREATMENT TREAT THE CAUSE VOICE THERAPY PSYCHOLOGICAL COUNCELLING 10
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FUNCTIONAL APHONIA FUNCTIONAL DISORDER SEEN IN EMOTIONALLY LABILE FEMALES AGE 15-30 SUDDEN ONSET WITHOUT ANY OTHER LARYNGEAL COMPLAINTS COMMUNICATES WITH WISPER 11
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ON EXAMINATION VOCAL CORDS ARE SEEN IN ABDUCTED POSITION AND FAIL TO ADDUCT ON PHONATION ADDUCTION CAN BE SEEN WHEN PT COUGHS – INDICATES (N) ADDUCTOR FUNCTION 12
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TREATMENT REASSURE PSYCHOTHERAPY 13
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PUBERPHONIA (Mutational Falsetto voice) IN MALES AT PUBERTY THE VC LENGTHEN AND VOICE CHANGES TO LOWER PITCH FAILURE OF THIS CHANGE LEADS TO PERSISTENCE OF CHILDHOOD HIGH PITCHED VOICE. 14
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CLINICAL FEATURES SEEN IN BOYS WHO ARE EMOTIONALLY IMMATURE FEEL INSECURE AND SHOW EXCESSIVE FIXATION TO THEIR MOTHERS PSYCHOLOGICALLY THEY SHUN TO ASSUME MALE RESPONSIBILITIES (N) PHYSICAL –SEXUAL MATURITY 15
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TREATMENT VOICE TRAINING –TO PRODUCE LOW PITCHED VOICE PRESSING THE THYROID IN BACKWARD AND DOWNWARD DIRECTION RELAXES THE STRECHED CORD. (GUTZMANN’S PRESSURE TEST) PROGNOSIS IS GOOD. 16
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PHONASTHENIA WEAKNESS OF VOICE DUE TO FATIGUE OF PHONATORY MUSCLES THYROARYTENOID AND INTER ARYTENOID AFFECTED SEEN IN ABUSE OR MISUSE OF VOICE EASY FATIGUABILITY OF VOICE 17
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TYPES & TREATMENT Elliptical space- thyroarytenoid weakness. Triangular gap near posterior commissure- interarytenoid. Key hole app- Both thyroid and interarytenoid. Rx-Voice rest ,vocal hygiene. 18
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Hyponasality (Rhinolalia Clausa) Lack of nasal resonance for words like m, n, ng. Due to blockage of nose / nasopharynx. Common cold, nasal allergy, nasal polypi, nasal growth, adenoids, nasopharyngeal mass, habitual. 19
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Hypernasality (Rhinolalia Aperta) Words with little nasal resonance are resonated through nose. Failure of nasopharynx to cut off from oropharynx / abnormal communication b/w oral & nasal cavities. Velopharyngeal insufficiency, cleft palate, paralysis of soft palate, post-adenoidectomy, oronasal fistula, habitual 20
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Stuttering Disorder of fluency of speech - hesitation to start, repetitions, prolongations or blocks in the flow of speech Well-established- may develop secondary mannerisms - facial grimacing, eye blink and abnormal head movements. 21
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Too much attention/ child reprimanded by parents & peers- behaviour pattern may become fixed - may develop into an adult stutterer. Education of parents- not to overreact to child's dysfluency in early stages of speech development. 22
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Treatment Speech therapy and Psychotherapy- improve his image as a speaker and reduce his fear of dysfluency. 23
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THANK YOU 24